Table 2.
Different measures used to define integrated care
Research question | Integration exposure measure | Definition | Notes |
---|---|---|---|
1) Does the Integra Intervention have an effect on HIV testing uptake among FP clients, compared with FP clients in facilities that did not receive the Integra intervention? | Design group | Attended intervention or comparison facility at the time of recruitment visit | 6 intervention, 6 comparison facilities |
2) Does the receipt of integrated RH‐HIV services during an FP visit increase annual HIV testing over the subsequent two years (regardless of study arm)? | Individual receipt of integrated services at baseline | Woman received a combination of at least one RH service (FP, MCH) and one HIV/STI service (HIV testing, HIV counseling, STI service) during her consultation at baseline | Binary measure (yes/no). HIV testing uptake measured at Rounds 1–3 only (baseline excluded) |
3) Does the level of integration at the facility lead to an increase in annual HIV testing among FP clients (regardless of study arm)? | Baseline facility integration index score | Score derived from Integra Functional Integration Index (IFII) to measure the extent of integration at the facility level | Low (≤1.99), medium (2.00 to 2.74), or high (≥2.75) index integration score |
4) Does the cumulative score for the level of integration in all facilities visited by a woman over two years influence her uptake of annual HIV testing? | Cumulative integration index score | Cumulative index exposure (additive score) to capture subsequent visits at study clinics | Grouped by tertiles of cumulative score into low, medium, and high. |